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Appointment Request

We value your time. You will be pleased to find that we will generally see you right at the appointed time. We will make every effort to complete your treatment in as few visits as possible. In order for us to be efficient with the time that we have scheduled for you, we would ask that you also be prompt and always give 48 hours notice if you are unable to keep an appointment so that other patients on our waiting list may be serve.


The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

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Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.



Refer a Friend
The greatest compliment you can give is to refer us to  your family and friends. You can be assured that the same quality care and excellent service you received will be given to each of them. For each person who complete s a new patient appointment and mentions your name as their referral to our office, we will send you a gift card.    In advance, please accept our thanks and appreciation.

Testimonials.

Read what people are saying about us.

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Testimonials

"I've always have excellent experience at Dr. Baukol's office. Everyone is friendly and professional"

John T.

"Dr. Baukol and his entire team are extremely caring and professional and have treated me with the utmost respect throughout. The experience has literally changed my life. I am able to smile without being embarrassed and also give the gift of a smile to others and for that I will be forever grateful to Dr. David Baukol."

Liz B.

"I am glad to have found this practice, and I'm confident on Dr. Baukol's treatment plan and expertise."

Frank H.

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Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.